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KMID : 0948320050050020168
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Konyang Medical Journal
2005 Volume.5 No. 2 p.168 ~ p.171
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A Clinical Evaluation by the Treatment Mode in the Tuboovarian Abscess
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Song Dong-Keum
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Abstract
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Objective: To analyze clinical characteristics, laboratory findings of tuboovarian abscess and compare the group treated conservative therapy with that treated surgical therapy.
Method: From January 2004 to September 2005, we retrospective studies on medical records of 23 admitted tuboovarian abscess patients in Dae-Jeoun Konyang university hospital.
Results: Of 23 patients, we classified 10 patients treated conservative therapy into group I and 13 patients treated surgical therapy into group II. Between two groups, there was no significant differances in age, parities and number of abortion. Number of intrauterine divice users was 8 and all of 2 patients were group I and 6 patients were group II, but there was no significant P value. There were no meaningful differences in rise of body temperature and CRP level, leukocyte count, percent of neutrophil, and the size of mass.
Conclusion: The selection of treatment mode of tuboovarian abscesses should be applied to the patients’ status respectively. Broad-spectrum antibiotics have enable patients to be treated soley with medical therapy, avoiding the need for surgery and conservating the fertility future. Percutaneous drainage with broad-spectrum antibiotics are becoming popular options and may avoid surgical intervention, but prospective studies are needed to assess their efficacy.
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KEYWORD
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Tuboovarian abscess, conservative therapy, surgical therapy
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